edd said:
issue came up on another thread " Training to be a better climber" if you have a knee injury story to tell, please …
In my teens I had a paper round, which I did on a too big and heavily loaded 3-speed. Spent a lot of time out of the saddle, straining at the handlebars. Each round took me around 3 hours, and sometimes I did 3 rounds each week.
I never thought of it as "training" so I didn't pay any attention at all to warming up, winding down or stretching. The muscles to the front of the thighs grew big and shortened, which caused the kneecap to be pulled out of position towards the outside.
Because of this misalignment I eventually developed cartilage damage to the back of the kneecap but also to the femur end of the knee joint.
Eventually it became so bad that I couldn't rise from a squatting position because of the pain.
Misery followed, long medication and even longer rehab - tailored to bring my leg strenght back to something less lopsided and to return the shortened muscles to a working length.
Still to this day I tread a delicate balance, working out too much aggravates the knees - but if I work out too little the kneecap tends to slip out of alignment again - which aggravates the knees even more.
So:
If you ride hard enough to get sweaty you need to think of it as training and act accordingly, with warmup, stretches and all that.
Biking isn't enough as an only means of exercise. You need some other discipline to keep the bike specific muscle groups from becoming too dominant.
Spending too much time pushing heavy gears can be bad for you, even if you have the strength to do it.
Even kids deserve decent gear, its not the age of the user that's important, it's the time the user spends in the saddle.
Oh, and good doctors are hard to find.